芪银三两三方治疗老年社区获得性肺炎36例临床观察  

Clinical Observation on Qiyin Sanliangsan Formula for 36 Cases of Elderly Community Acquired Pneumonia

作　　者：沈益谦[1] 郝瑞福[1] 

机构地区：[1]北京中医药大学东方医院

出　　处：《中医杂志》2012年第13期1116-1118,共3页Journal of Traditional Chinese Medicine

摘　　要：目的观察芪银三两三方治疗老年社区获得性肺炎的疗效。方法将71例患者随机分为治疗组36例和对照组35例,两组均予对症处理及抗生素治疗,在此基础上治疗加用芪银三两三方,疗程均为14天。疗程结束后观察2组患者的临床疗效,比较治疗前后症状积分变化和肺部炎症改善率。结果治疗组总有效率为91.7%,对照组总有效率为71.4%,两组比较差异有统计学意义(P<0.05);发热、咳嗽、咯痰的症状积分治疗前后差值比较,治疗组优于对照组(P<0.05);治疗组肺部炎症改善率(88.9%)与对照组(77.1%)比较,差异有统计学意义(P<0.05)。结论芪银三两三方治疗老年社区获得性肺炎有效,且在改善主要症状及促进炎症吸收上效果突出。Objective To observe the therapeutic effect of Qiyin Sanliangsan Formula [formula of huangqi （RadixAstragali） and Jinyinhua （Flos Lonicerae Japonicae）] on elderly community acquired pneumonia （CAP）. Methods Seventy one patients were randomized into treatment group of 36 cases and control group of 35 cases. Both groups were given symptomatic treatment and antibiotics and the treatment group was combined with Qiyin Sanliangsan Formula. The treatment course lasted for 14 days. The therapeutic effect, symptom integral and the relief rate of lung inflammation were observed and compared be- fore and after the treatment in both groups. Results The total effective rate of the treatment group and the control group was 91.7 % and 71.4% respectively, with significant difference （P〈0.05）. After the treatment, there were significant differences between groups in the integrals of fever, cough and expectoration （P〈0. 05）. The relief rate of lung inflammation of the treatment group and the control group was 88.9% and 77.1% respectively, with significant difference （P〈0. 05）. Conclusion Qiyin Sanliangsan Formula is effective for the elderly CAP, especially in reliving the main symptoms and promoting inflammation absorption.

关 键 词：社区获得性肺炎 芪银三两三方 老年 

分 类 号：R259[医药卫生—中西医结合]